Poornima Jayaprakash

General Dentistry · Racine, WI

Primary taxonomy

1223G0001X

Enumerated

2007-01-01

Practice location

Racine, WI

Last NPPES update

2007-07-08

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.